Minnesota Administrative Rules

9505.0255 COMMUNITY HEALTH CLINIC SERVICES.

Subpart 1.

Definition.

"Community health clinic service" means a health service provided by or under the supervision of a physician in a clinic that meets the criteria listed in items A to D. The clinic:

A.

has nonprofit status as specified in Minnesota Statutes, chapter 317A; and

B.

has tax exempt status as provided in Internal Revenue Code, section 501(c)(3) as amended through October 4, 1976, or is established as a hospital authority under Minnesota Statutes, section 144.581, or is operated under the control of the commissioner under Minnesota Statutes, section 246.01; and

C.

is established to provide health services to low income population groups; and

D.

has written clinic policies as provided in subpart 4.

Subp. 2.

Eligible health services.

The services listed in items A to F are eligible for payment as a community health clinic service:

A.

physician services under part 9505.0345;

B.

preventive health services under part 9505.0355;

C.

family planning services under part 9505.0280;

D.

early periodic screening, diagnosis, and treatment services under part 9505.0275;

E.

dental services under part 9505.0270; and

F.

prenatal care services under part 9505.0353.

Subp. 3.

Eligible vendors of community health clinic services.

Under the supervision of a physician, a health service provided by a physician assistant or nurse practitioner who contracts with, is a volunteer, or an employee of a community health clinic, is a covered service.

Subp. 4.

Written patient care policies.

To be eligible to participate as a community health clinic, as in subpart 1, a provider must establish, in writing:

A.

a description of health services provided by the community health clinic;

B.

policies concerning the medical management of health problems including health conditions which require referral to physicians and provision of emergency health services; and

C.

policies concerning the maintenance and review of health records by the physician.

Statutory Authority:

MS s 256B.04

History:

12 SR 624; 15 SR 910; L 1989 c 304 s 137

Published Electronically:

August 12, 2008